CODMAN BACTISEAL EVD CATHETER
Report
- Report Number
- 3013886523-2025-00244
- Event Type
- Malfunction
- Date Received
- September 12, 2025
- Date of Event
- August 17, 2025
- Report Date
- December 18, 2025
- Manufacturer
- INTEGRA LIFESCIENCES MANSFIELD
- Product Code
- JXG
- UDI-DI
- 10381780515593
- PMA / PMN Number
- K233448
- Product Problem
- Yes
- Report Source
- Manufacturer report
- Reporter Occupation
- OTHER
- Health Professional
- N
Narratives
UPDATED FIELDS: D4, D8, D9, G6, H1, H2, H3, H6, H8, H11. THE EVD CATHETER (ID 821745) WAS NOT RETURNED FOR EVALUATION, BUT A PHOTO WAS PROVIDED AND EVALUATED: SHOWING THE PRESENCE OF WHAT LOOKS LIKE HAIR INSIDE THE SEALED BLISTER. DEVICE HISTORY RECORD (DHR) - THE PRODUCT CODE 821745 WITH LOT 7452307 CONFORMED TO SPECIFICATIONS WHEN RELEASED TO STOCK FAILURE ANALYSIS - AFTER REVIEWING THE PHOTO PROVIDED BY THE CUSTOMER, WE CAN SEE THE PRESENCE OF WHAT LOOKS LIKE HAIR INSIDE THE SEALED BLISTER. ROOT CAUSE ANALYSIS - THE ROOT CAUSE FOR THE ISSUE REPORTED BY THE CUSTOMER WAS DUE TO A HUMAN ERROR. THE SPECS IN THE WORKING INSTRUCTION WERE NOT APPLIED. AN AWARENESS TRAINING WAS PERFORMED.
AN INVESTIGATION HAS BEEN INITIATED BASED ON THE REPORTED INFORMATION. UPON COMPLETION OF THE INVESTIGATION, A FOLLOW-UP REPORT WILL BE SUBMITTED.
N/A.
A FACILITY REPORTED A HAIR WAS FOUND INSIDE THE INNER STERILE PACKAGE OF AN EVD CATHETER (ID 821745). PACKAGE REMAINED SEALED AND A NEW ONE OPENED. NO SURGICAL DELAY, NO PATIENT HARM.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 2655707 | CODMAN BACTISEAL EVD CATHETER | BACTISEAL EVD CATHETERS | JXG | INTEGRA LIFESCIENCES MANSFIELD | 7452307 | 10381780515593 |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Unknown |